治卯酉之岁,阳明司天,少阴在泉,病者中热,面浮鼻鼽,小便赤黄,甚则淋
,或疠气行,善暴仆,振栗谵妄,寒疟痈肿,便血。
远志(去心,姜制炒) 紫檀香(各一两) 天门冬(去心) 山茱萸(各三分) 白术 白芍药
甘草(炙) 生姜(各半两)
上锉散。每服四钱,水盏半,煎七分,去滓,食前服。自大寒至春分,加白茯苓、半夏
(汤洗去滑)、紫苏、生姜(各半两);自春分至小满,加玄参、白薇(各半两);自小满至大暑,去
远志、山茱萸、白术,加丹参、泽泻(各半两);自大暑至秋分,去远志、白术,加酸枣仁、车
前子(各半两);自秋分直至大寒,并根据正方。
寅申之岁,少阳相火司天,厥阴风木在泉,气化营运先天。初之气,少阴君火加厥阴木
,民病温,气拂于上,血溢目赤,咳逆头痛,血崩胁满,肤腠中疮。二之气,太阴土加少阴
火,民病热郁,咳逆呕吐,胸臆不利,头痛身热,昏愦脓疮。三之气,少阳相火加相火,民
病热中,聋瞑,血溢脓疮,咳呕鼽衄,渴嚏欠,喉痹目赤,善暴死。四之气,阳明金加太阴
土,民病满,身重。五之气,太阳水加阳明金,民避寒邪,君子周密。终之气,厥阴木加太
阳水,民病开闭不禁,心痛,阳气不藏而咳。治法,宜咸寒平其上,辛温治其内,宜酸渗之
,泄之,渍之,发之。
治疗卯年和酉年,阳明燥金司天,少阴君火在泉时发生的疾病。患者表现为体内发热,面部浮肿,鼻塞流涕,小便颜色深黄,严重时可出现淋证,或者遇到疠气流行时,容易发生突然昏倒、寒战颤抖、胡言乱语,以及寒性疟疾、痈肿疮疡、便血等症状。
处方组成:远志(去除心部,用姜汁炮制后炒干)一两,紫檀香一两;天门冬(去除心部)三分,山茱萸三分;白术半两,白芍药半两,炙甘草半两,生姜半两。
以上药物切碎成散剂。每次服用四钱,加水一盏半,煎煮至七分满,滤去药渣,在饭前服用。从大寒节气到春分节气期间,加入白茯苓、半夏(用热水洗去滑腻)、紫苏、生姜各半两;从春分到小满节气期间,加入玄参、白薇各半两;从小满到大暑节气期间,去掉远志、山茱萸、白术,加入丹参、泽泻各半两;自大暑到秋分节气期间,去掉远志、白术,加入酸枣仁、车前子各半两;从秋分直到大寒节气,均按照上述基础正方配方使用。
治疗寅年和申年,少阳相火司天,厥阴风木在泉时,气化运行先于天时。初之气阶段,少阴君火加临于厥阴风木之上,民众易患温病,风气拂逆于上,导致血液溢出(如鼻衄等),眼睛发红,咳嗽气逆头痛,妇女血崩,胁肋胀满,皮肤腠理间生疮。二之气阶段,太阴湿土加临于少阴君火之上,民众易患热邪郁滞之病,出现咳嗽气逆呕吐,胸膈痞闷不畅,头痛身体发热,神志昏沉困倦,化脓性疮疡。三之气阶段,少阳相火加临于相火之上,民众易患热中病,出现耳聋目眩,血液溢出,化脓性疮疡,咳嗽呕吐,鼻塞流涕及鼻出血,口渴打喷嚏呵欠,咽喉痹阻,眼睛发红,容易突然死亡。四之气阶段,阳明燥金加临于太阴湿土之上,民众易患腹部胀满,身体沉重。五之气阶段,太阳寒水加临于阳明燥金之上,民众需躲避寒邪,君子应周密防范。终之气阶段,厥阴风木加临于太阳寒水之上,民众易患大小便失禁不禁,心痛,阳气不能潜藏而引发咳嗽。治疗方法,适宜用咸寒性质的药物平抑上部邪气,用辛温性质的药物治疗内部病变,适宜用酸味渗利的方法,以及泄法、浸渍法、发汗法。
To treat diseases occurring in the years of Mao and You (Rabbit and Rooster), when Yangming Metal governs the Heaven (Si Tian) and Shaoyin Fire governs the Earth (Zai Quan). Patients present with internal heat, facial edema, nasal congestion with rhinorrhea, dark yellow urine, and in severe cases, strangury. If pestilential qi is prevalent, there may be sudden collapse, tremors and chills, delirium, cold malaria, carbuncles and sores, and hematochezia.
Prescription: Yuanzhi (Radix Polygalae, heart removed, processed with ginger juice and stir-fried) 1 liang; Zitanxiang (Santalum album Lignum) 1 liang; Tiantaodong (Asparagi Radix, heart removed) 3 fen; Shanzhuyu (Corni Fructus) 3 fen; Baizhu (Atractylodis Macrocephalae Rhizoma) 0.5 liang; Baishaoyao (Paeoniae Radix Alba) 0.5 liang; Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata) 0.5 liang; Shengjiang (Zingiberis Rhizoma Recens) 0.5 liang.
Crush the above herbs into a coarse powder. Take 4 qian per dose, add 1.5 cups of water, decoct until 0.7 cup remains, strain, and take before meals. From Dahan (Great Cold) to Chunfen (Spring Equinox), add Baifuling (Poria), Banxia (Pinelliae Rhizoma Preparatum, washed with hot water to remove slipperiness), Zisu (Perillae Folium), and Shengjiang (Zingiberis Rhizoma Recens), each 0.5 liang; from Chunfen (Spring Equinox) to Xiaoman (Grain Buds), add Xuanshen (Scrophulariae Radix) and Baiwei (Cynanchi Atrati Radix), each 0.5 liang; from Xiaoman (Grain Buds) to Dashu (Great Heat), remove Yuanzhi (Radix Polygalae), Shanzhuyu (Corni Fructus), and Baizhu (Atractylodis Macrocephalae Rhizoma), add Danshen (Salviae Miltiorrhizae Radix) and Zexie (Alismatis Rhizoma), each 0.5 liang; from Dashu (Great Heat) to Qiufen (Autumn Equinox), remove Yuanzhi (Radix Polygalae) and Baizhu (Atractylodis Macrocephalae Rhizoma), add Suanzaoren (Ziziphi Spinosae Semen) and Cheqianzi (Plantaginis Semen), each 0.5 liang; from Qiufen (Autumn Equinox) to Dahan (Great Cold), follow the main formula as stated above.
To treat diseases occurring in the years of Yin and Shen (Tiger and Monkey), when Shaoyang Ministerial Fire governs the Heaven (Si Tian) and Jueyin Wind Wood governs the Earth (Zai Quan), where the qi transformation operates prior to the natural timing. In the First Qi phase, Shaoyin Sovereign Fire overlays Jueyin Wind Wood; the people suffer from warm diseases, wind disturbs upwards causing blood extravasation and red eyes, cough with counterflow and headache, metrorrhagia, hypochondriac fullness, and sores in the skin and interstices. In the Second Qi phase, Taiyin Earth overlays Shaoyin Fire; the people suffer from heat stagnation, cough with counterflow and vomiting, chest and diaphragm discomfort, headache and fever, drowsiness and purulent sores. In the Third Qi phase, Shaoyang Ministerial Fire overlays Ministerial Fire; the people suffer from heat in the middle, deafness and blindness, blood extravasation, purulent sores, cough and vomiting, nasal congestion and epistaxis, thirst, sneezing and yawning, throat obstruction, and red eyes, prone to sudden death. In the Fourth Qi phase, Yangming Metal overlays Taiyin Earth; the people suffer from fullness and heavy body. In the Fifth Qi phase, Taiyang Water overlays Yangming Metal; the people avoid cold pathogens, and gentlemen act with caution. In the Final Qi phase, Jueyin Wood overlays Taiyang Water; the people suffer from incontinence of urine and feces, heart pain, and cough due to yang qi failing to store. The treatment method should employ salty-cold substances to calm the upper part, pungent-warm substances to treat the interior, and utilize sour-draining methods, purgative methods, maceration methods, and diaphoretic methods.